51001.2g.? A 3 A LiA./1/� Lot No. �J
No. Street Gk i . Cr
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Do to 196 7
to be occupied only as
is hereby made for a permit to
a
File No. J' O
Sanitary No.
i
story, Type
r Z J
in accordant, with Plot.Plan, Plans and Specification filed herewith.
Estimated Value of Improvements
FEES
Contr,
s ect G� O O G �=
Plan Check $
Address
Address
Phone az State License
Approved
APPLICATION FOR ELECTRICAL PERMIT �^
Date /'� 1L77—
FEES
Contr.
Address % 7-2–
–o270u
-73 JP 1,
Phone ��
State License
E .
i
Approved WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING
& GAS PERMIT
S"//4'
� s=
Dare 196
GAS FEE $
�
PLUMBING FEE $
k:k �17'>,.,��i'
Cont,. ��
Address
Phone <2,!'J –OLQ -7 %
State License
Approved WILLIAM n
r'E.`h'c Gr1 N—
APPLICATION FOR APPLIANCE PERM
Date/1' IT 196 -7FEES 7S�
Contr. 1Z
Phone 'a 4; O S— State Lict
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVAL'S
FOUNDATION
7 --?V-6 % BUILDING
UNDERFLOOR
n,-1
'�t
Ins
FRAME
C _ 0te4 7
li spe o
RECEPTACLES
PARTIAL ROUGH — 'G
FIXTURES
4yte
Date
H.P. CHARGE
Inspector
LATH 8 PLASTER
PERMIT FEE
STORM DRAIN FEE
TOTAL FEES
Ins c r
FINAL 3
FIXTURES
Date
Date
Insoector
ELECTRICAL
Motors
SERVICE SI
UNDERGROUND
I SIZE
TERIAL
.OUTLETS
'
Dto
SWITCHES
nSpector
ROUGH WIRING
RECEPTACLES
PARTIAL ROUGH — 'G
FIXTURES
4yte
Date
H.P. CHARGE
FINISH WIRING
Z'
PERMIT FEE
STORM DRAIN FEE
TOTAL FEES
MAIN DRAIN
Inspector
SERVICE SI
UNDERGROUND
I SIZE
TERIAL
TYPE OF APPLIANCE
'
Dto
UNDERGROUND
nSpector
ROUGH WIRING
—TO''�
PARTIAL ROUGH — 'G
BLOWER FURNACES
4yte
Date
In pector
FINISH WIRING
Z'
ROUGH COMPLET D `
STORM DRAIN FEE
lot-
MAIN DRAIN
Inspector
FIXTURES
Date
spectcr
Date
Inspector
Motors
PERMIT FEE
Pat
l
GAS PIPING FEE
Inspector
FINAL
/�� l�
Date Inspector
PLUMBING 8 GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
I SIZE
TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
FIXTURE FEE
REGISTERS
PARTIAL ROUGH — 'G
BLOWER FURNACES
Date
I r
MAIN DRAIN FEE
ROUGH COMPLET D `
STORM DRAIN FEE
MISC
MAIN DRAIN
Do
—17-G7fe
GAS RANGE.
Date
spectcr
WATER SYSTEM FEE
GAS DRYER
GAS PIPING i
-
PERMIT FEE
Pat
Inspector
GAS PIPING FEE
TOTAL FEE
FINAL Z "%J'6i
Date
Inspector
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE
MISC
vote Inspector
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
COMBUSTION VENT
SUSPENDED UNIT -
MISC
GAS RANGE.
MISC "
GAS DRYER
-
PERMIT FEE
FLOOR FURNACE
TOTAL FEE
INSPECTED �2 6
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date -12 - — ----- ................. .., 1916..7... Building Permit
' I 23�v
The Building Located at ... 420. ------------- .................................... : ......... C., ....................
'p"d/ - ;. .k .q
Owned by ...64........................1r0--......,.................................... 0 . ....
Has Been (Completed) A,
For Use A . ................ 4 ...........Dw
.....................................................
..................................................................... ...... -------------- - ..... .......... ... * -------
Idej
--------------- ............. ----------------
-----
-
BU - I I LDING,`!'1N-
SPECTOR- -
102 12/66 -IM
i Bldg. Dept.
- Office Copy .-
i
BUILDING INSPECTOR'S OFFICE
it
CITY OF CUPERTINO ,
t;
C V41. A
Sewer Connection Sanitary Permit No. -t --of-../....:-. -..
ePlumbing Final Plumbing Permit No.�Q�-�'..'.-.
��t� �n.� J
Lt � - "Lot No- --- if...............
Owner or enant Q'0.i� / ..... �d
... ............... ...................................................:...-..---------.-......._.
At .r2. 3 �y...::....... .. a--.-.. A P�.ua........-....-.......
fG«.a
Tract .......- ......................................... .i:
DateConnected _ 4e........:� - ...................................................................... 19.9.7.
n
Date Final....... ............... -.....1
9-6-7_----_ ..
PLUMBING INSPECTOR
111 12/66-1M
r
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To �y
........ -41Z .... . Q .... .......................... 1967.
You are hereby authorized /too connect
�the GAS service For
Owner or Tenant .....D '� "�
....................:......................................................... ....... .....................
At ....z33 ......... ..
/ New Service ........................
No. of Meters ...... /.............. Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
...............................................................................
PLUMBING INSPECTOR
OFFICE A10PY • - � --.
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE,
CITY OF CUPERTINO
/r ..................... �..�!..:..k.......... ..., 196 7-
To � /
You are hereby aut riz to t ect ectrical service for
Owner or Tenant ....... ... .. ...
At... .........
No. of Wires ........ -Size of Wire ....Y.._. Size of Switch.4tF.l...
Motor Load .............. ::........ : Voltage ......-.................. Phase ..... ................... ...
......
Heating Load ........................ K. W.................................... Voltage .............. ........ ...... .
light 116..... evv Service..........
g ........ ,/ Keconnect..................
No. of Meters......
No. of Add.-
Heat ................. 220........ . -TW. WI .... ...... Move Service.......:..
Meters............
. se........ .. Move Meter ..............
Power.......;...... .'.... _::......._�: -�.. �.... ...:. ..... Move
'' •fid ELECTRICAL INSPECTOR
(n
m
n
I AGREE I WILL NOT VIOLATE ANY OF THE N'ORKME1
COMPENSATION LAWS OF THE STATE OF CALIFORN
a
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2
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NO. STREET
APPLICATION
CITY
LOT NO, 44
FOR PLUMBING PERMIT
OF CUPERTINO
Sanitary No, -5-2 , 6A
6 4n r"Y/ ii i, 196 Permit No ,-5-Z 6 6 /, 2-
1
F" S "'2 46 • fa
App`cati;n is 4uce reE.yeyadje,q jhe City of Cupertino for a permit to install plumbing
pipes land/ tjfixttlf d pothe reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City Of
Cupertino, and all
�-"-' ...G..-•� other laws applicable thereto.
Use of PPrremisei��1� I f �
Ownfe' Address
ByC-'+/%'-C''-�JS*[z.f� �,el[�o.zv� Address
CONTRACTOR,AGENT %
Phone,'1� -2 %3- JO 7 7n
State License -7369.x,5'"r:Lt Approved •+'.",7^.. `.:'['"Zl';:'.:-l.
'
\ PLUMBING INSPECTOR v
t
P.raw,
Sewer Boxes
Ware
FEES
1,
area vram5 Mat llraln 1'ee p0
Water Leaders Fee
klrr Valves
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
-Iain Drain
Final